Abstract | CASE SUMMARY: DISCUSSION: Here, in this patient, transbronchial biopsy was suggestive of cryptogenic organizing pneumonia along with chest X-ray, and the HRCT finding was also favouring the same. But in this case, we have also seen elevated levels of serum ACE which dropped significantly to the normal level along with a complete clearance of lesions with systemic steroids, and this favours sarcoidosis. Also, the recurrence was in different areas of the lung, and lesions once again responded both clinically and radiologically to steroids with a consistent drop in serum angiotensin-converting enzyme (SACE) levels, which again is a feature common in sarcoidosis. In COP, often complete clearance of the lesions is seldom seen, even though they do respond to steroids but not as dramatically as in our case. Also, recurrence of the lesion with BOOP at different sites is uncommon as it generally progresses in the same site. CONCLUSION:
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Authors | Ajmal Nazir Neelambra, Vishak Acharya, Sowmya Sundararajan |
Journal | Case reports in medicine
(Case Rep Med)
Vol. 2018
Pg. 4316109
( 2018)
ISSN: 1687-9627 [Print] United States |
PMID | 30026760
(Publication Type: Case Reports)
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